Reducing Inadvertent Gastric Tube Removal in NICU: A Quality Improvement Initiative.

Jun Chen, Chaomei Huang, Xiaoqing Jia, Yiheng Dai, Xiaoling Fang

Abstract read

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Article in Indian journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jun ChenDivision of Neonatology, Foshan Women and Children Hospital, Foshan, GD, China.

Chaomei HuangDivision of Neonatology, Foshan Women and Children Hospital, Foshan, GD, China.

Xiaoqing JiaDivision of Neonatology, Foshan Women and Children Hospital, Foshan, GD, China.

Yiheng DaiDivision of Neonatology, Foshan Women and Children Hospital, Foshan, GD, China.

Xiaoling FangDivision of Neonatology, Zhujiang Hospital, Southern Medical University, Guangzhou, GD, China. 517064305@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the impact of quality improvement (QI) interventions on lowering inadvertent removal of gastric tubes (IRGT) incidence in a Chinese territory neonatal intensive care unit (NICU).

methodsA multidisciplinary approach was employed, incorporating sequential interventions targeting identified causative factors. The study was conducted in three phases-pre-implementation, implementation, and post-implementation. Baseline characteristics and process measures were assessed to evaluate the impact of the interventions.

resultsMonthly IRGT incidence significantly decreased from 10.3 at baseline to 2.0 events per 100 tube placement days after post-intervention, with the reduction sustained over a twelve-month period. Furthermore, compliance with the interventions and the use of nasogastric tubes both significantly increased following the implementation of the four-phase interventions.

conclusionsThis study demonstrates that a structured, multidisciplinary QI approach can significantly lower the incidence of IRGT in the NICU. This structured QI initiative demonstrates a reproducible model to enhance neonatal safety by reducing gastric tube dislodgement.

Indexed as

Device RemovalEnteral NutritionIntensive Care Units, NeonatalIntubation, GastrointestinalMedical ErrorsQuality ImprovementHumansIncidenceInfant, NewbornGastric tubesInadvertent removal of gastric tubes (IRGT)Neonatal intensive care units (NICU)Patient safetyQuality improvement

Identifiers

PMID41549175

DOI10.1007/s12098-025-05864-5

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.